Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.30 / $199.53	Facility		$15.14	$26.30	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.12 / $75.86	Professional		$13.18	$25.12	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.22 / $19.95	Professional		$12.30	$16.22	$19.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $123.03 / $331.13	Facility		$41.69	$123.03	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $24.55 / $29.51	Professional		$15.49	$24.55	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Facility		$4.57	$4.57	$4.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $34.67	Professional		$14.45	$20.42	$34.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.39 / $154.88	Professional		$14.13	$22.39	$154.88
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $18.20	Professional		$17.38	$17.38	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $30.20	Professional		$13.49	$19.05	$30.20